Provider Demographics
NPI:1619155298
Name:KSA CONSULTING LLC
Entity Type:Organization
Organization Name:KSA CONSULTING LLC
Other - Org Name:BRIGHTSTAR OF NOVI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGELOCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-449-5110
Mailing Address - Street 1:37000 GRAND RIVER AVE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335
Mailing Address - Country:US
Mailing Address - Phone:248-449-5110
Mailing Address - Fax:248-449-5195
Practice Address - Street 1:37000 GRAND RIVER AVE
Practice Address - Street 2:SUITE 370
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335
Practice Address - Country:US
Practice Address - Phone:248-449-5110
Practice Address - Fax:248-449-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health